Issue link: https://beckershealthcare.uberflip.com/i/1161749
36 POPULATION HEALTH 36 CEO/STRATEGY Trump issues executive order on kidney care: 6 notes By Emily Rappleye P resident Donald Trump issued an ex- ecutive order July 10 detailing plans to transform kidney care in the U.S. Six quick things to know about the order: 1. e order laid out three specific goals: • Reduce new cases of end-stage renal disease by 25 percent in 10 years. Currently, more than 726,000 Amer- icans have ESRD and more than 100,000 Americans begin dialysis every year, according to the Trump administration. • Increase the percentage of ESRD pa- tients who receive dialysis at home or a kidney transplant to 80 percent by 2025. About 12 percent of patients undergo dialysis at home. • Double the kidneys available for transplant by 2030. Almost 100,000 people are waiting for a transplant. 2. To accomplish these goals, CMS' inno- vation center unveiled four optional Medi- care payment models. e models aim to use incentive payments to improve pro- viders' management of kidney disease and prevention efforts. 3. CMS also released a proposed rule for a mandatory model called "ESRD Treat- ment Choices," which would target dialy- sis providers and incentivize them to move treatment into patient homes. 4. e administration plans to transform the organ donation and transplant process. is includes plans to increase financial support for organ donors. 5. To improve kidney supply, the order includes provisions to encourage artificial kidney development. It plans to launch prize competitions through a public-pri- vate partnership to accomplish this goal. 6. HHS will launch a public awareness campaign about kidney disease. n White House racing to craft healthcare measures ahead of election By Alia Paavola W hite House advisers are meeting with President Donald Trump daily with an aim to unveil a new healthcare measure every two to three weeks until the 2020 election, according to The Washington Post. One of the plans, announced July 31, would allow the U.S. to import drugs from Canada. Another seeks to lower drug prices covered by Medicare by ty- ing them to the price other developed countries pay. The push to deliver healthcare measures at a quick pace shows that White House advisers want to create a healthcare agenda for the president to pro- mote on the campaign trail, according to The Post. Many of the Democratic candidates already have healthcare proposals and have made them a key ele- ment of their campaigns. White House advisers also are working to craft an ACA replacement that Pres- ident Trump can campaign on, especially if the 5th Circuit U.S. Appeals Court backs a federal judge's ruling in Texas earlier this year that the law is unconsti- tutional. Other healthcare proposals under review include a draft executive order to develop a universal flu vaccine and initiatives to reduce HIV infections and end- stage kidney disease. "Every chance we have to set or tweak a rule we are doing it," a senior White House official told The Post anonymously. "This administration has been more creative and accomplished more when it comes to healthcare and health than anybody has given us credit for." The healthcare efforts in the White House are being led by Domestic Policy Council Director Joe Grogan, Chief of Staff Mick Mulvaney and acting director of the White House Office of Management and Budget, Russ Vought. HHS Secretary Alex Azar is also commonly involved in the daily meetings, ac- cording to The Post. n Trump preparing executive order for flu vaccine By Emily Rappleye T he Trump administration is preparing an executive order to incentivize flu shot makers to use new development processes and encourage vac- cination, Politico first reported. People "with knowledge of the plan" told Politico President Donald Trump is preparing the order, but budget officials and Congress still need to approve funding. Through the executive order, the Trump administration will direct HHS to develop a universal flu vaccine. The order is expected to establish a task force to identify ways to monitor this progress and to incentivize vaccine makers to use new development processes that are faster than the traditional approach using hen›s eggs, according to the report. Politico notes President Trump has made an about-face on vaccines, which he denounced as unsafe prior to his presidency. n